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ABFM Questions (OB/GYN) Updated 2023 Rated (A+)
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ABFM Questions (OB/GYN) Updated 2023 Rated (A+)
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ABFM Questions (OB/GYN) Updated 2023 Rated (A+)Quiz :Contraindication for levonorgestrel releasing IUD (where copper IUD
might be preferred) - Answer :women with severe cirrhosis or liver cancer,
copper IUD is preferred -> levo-releasing and copper IUD have no differences
in risk for DVT/PE, totes ok in smokers/nulliparous
Quiz :First test for painless post-meno bleeding - Answer :transvag US
(endometrial biopsy if TVUS no available)
Quiz :TVUS endometrial thickness suspicious for cancer - Answer :more than
3-4 cm
Quiz :Best class of antidepressants for pregnant women - Answer :SSRIs
Quiz :First line treatment for primary dysmenorrhea - Answer :NSAIDs (start
at onset of menses, continue for first two days) > OCP, lack of high quality
evidence (good if no baby wanted)
Quiz :Risk factors for still birth - Answer :advanced maternal age, smoking >
0.5 packs a day, congenital anomalies, BMI > 30 (vigorous exercise is okay!)
"old, fat, smk"
Quiz :All preg should be screened for this b/w 11 and 16 weeks gestation and
should be tx'ed appropriately if (+) - Answer :urinalysis and urine culture
screening for asymptomatic bacteriuria (cause repeat UTIs, pyelo, preterm
labor if untx'ed)
Quiz :When group B strep screening in pregnancy should be done -
Answer :35-37 weeks of gestation
Quiz :How to treat pregnant woman w/GBS first line? if allergic to first line? -
Answer :first line: ampicillin; if allergic use cefazolin
Quiz :When DM screening should be done in pregnancy - Answer :24-28
weeks of gestation (with a 50 g glucose dose)
Quiz :Drug of choice for pregnant women w/opioid abuse -
Answer :methadone, no long term effects noted
, Quiz :A condition that represents an unacceptable health risk if the
contraceptive method is used - Answer :Migraines with aura (2-4 times more
likely to have a stroke if headaches, if w/aura the risk is higher thus
unacceptable risk)
Quiz :Normal number of arteries and veins in umbilical cord - Answer :2
arteries, 1 vein
Quiz :Who is legally responsible for ensuring the patient gets notified of the
mammogram results? - Answer :facility performing the mammogram
Quiz :First line therapy for menstrual abnormalities, hirsutism, and acne in
PCOS - Answer :hormonal contraceptives
Quiz :Gestational HTN after 37 weeks -> next best step? - Answer :induction
of labor; if less than 37 weeks do twice weekly office visits
Quiz :Pregnant woman has not been vaccinated for rubella (neg titers for
rubella), when do you immunize? - Answer :right after childbirth, MMR is live
attenuated so you can't give during or shortly before pregnancy
Quiz :Pt w/preeclampsia is given Mg -> suddenly becomes apneic and areflexic
-> NBS? - Answer :this is Mg toxicity, give calcium (CaCl if central line or Ca-
gluconate if peripheral line)
Quiz :Drugs for uterine atony and postpartum bleed - Answer :Oxytocin,
misoprostol, methylgonovine (don't use if HTN), carboprost (don't use if
asthma)
Quiz :Antiemetic during pregnancy first line (after lifestyle and diet changes
didn't work) - Answer :doxylamine (Unisom 12.5 mg 3-4/d) and pyridoxine
(vitB 10-25 mg once/d) + avoid certain foods (spicy/fat), eat high prt snacks,
crackers in AM b4 rising
Quiz :Persistent occiput posterior fetal position has a lesser chance of what
kind of delivery - Answer :normal, spontaneous vaginal delivery -> higher risk
of cesarean delivery and assisted vaginal delivery
Quiz :Young female with positive gonorrhea test and negative Chlamydia test,
NBS tx? - Answer :treat with ceftriaxone 250 mg IM plus (azithromycin 1 g PO
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